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Certainly is familar. you taught it to many of us twenty five yearsago. I used it a few months ago to tell a story to my state elected leaders about a “crisis” river, describing Boise’s mental health crisis in 2012. We are not alone and these troubling “statistics” are similar to what my police chief colleagues are facing on their rivers throughout the state and nation. Now for the upstream/downstream analogy. We can’t continue to concentrate exclusively on emergency rescue efforts recovering dead bodies from the falls (suicides in my city run about 65-70 annually) . We need to focus upstream and what we can start doing now to reduce the number of our citizens from reaching the rapids (crisis). That’s why police must take an active leadership role, with other community partners, in speaking out for mental health system improvements. Upstream-Downstream is a great way to explain our stories.